Fedayeen Transportation VIP Client Intake Form
Strictly Confidential | For Private Use ONLY
Section 1:
Personal Information
Name
*
First Name
Last Name
Preferred Name | Alias (Optional)
First Name
Last Name
Primary Contact Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method Of Contact
*
Text
Email
Call
Assistant/Manager Contact (See Below)
Assistant/Manager Contact (If Applicable)
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Section 2: Services
Preferred Services
Primary Service Area:
(City/State or Major Region)
Typical Use of Serivce
Airport Transfers
Corporate/Executive Transport
Event or Nightlife Chauffeur
Long Term /Full Day Driver
Special Occasions
Exotic Rental Option
Preferred Vehicle Type
Luxury SUV
Executive/ Limo Sprinter
Premium Sedan
Open to Recommendations
Estimated Frequency of Service
1-2x per Month
Weekly
Several Times Weekly
Daily or Full-Time
As Needed/ On-Call
Interested in VIP Subscription Tiers
Onyx (10 hrs/month
Platinum (25 hrs/month + Conceirge
Black Card (Unlimited + Priority Access)
Not sure yet want to learn more
Section 3:
Privacy & Customization
Pick Up Preference
Curbside
Discreet/ Private Location
Security Escort Required
Assistant / Team Coordination
Would you like to keep Same driver for all bookings?
Yes/No
Do you require a signed Non-Disclosure Agreement (NDA)?
Yes
No
Already signed previously arranged
Additional Notes/ Special Instructions
(Include specific protocols, preferences, or past concerns)
Section 4: Agreement & Signature
Confidentiality Statement: I understand that Fedayeen Transportation LLC operates under a strict code of confidentiality. Any information shared within this form or during service is protected and will not be disclosed to any third party.
I agree to Terms
I Disagree to Terms
Signature
Date
/
Month
/
Day
Year
Date
Submit
Submit
Should be Empty: